| NPI | 1275928673 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROGELIO MENDOZA Director/Owner 409-794-2314 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: TX AP127771) |
| Enumeration Date | 2015-04-02 |
| Last Update Date | 2015-04-02 |